( ) II 1 2 (2007) 3. GMFCS (Gross Motor Function Classification System) 11 V. American College of Sports Medicine (ACSM) 12 A,B 1)

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2 ( ) II 1 II (2007) 3 ( ) (35 25 ) GMFCS (Gross Motor Function Classification System) 11 V 10 American College of Sports Medicine (ACSM) 12 GMFCSII III( ) 13 14,15 Satonaka (2011,2014) 14,15 6 GMFCSII IV 14,15 ACSM 301 (NEAT(Non-Exercise Activity Thermogenesis) GMFCSV 18 1 (NS) () ( ) ()A B NS (AS) 2 A,B 1) (KT) ( 1) 2)KT ( (11 4 )( 2) ) 3) 4) 5) 4) ( 3612)

3 ( 4) A 1 A 6 1 B NS AS B A 1 B 1 10 B 1 A 4 2 B 3 AB AB 1)A NSAS B NSAS 2)A B B 3)A ( 3) B PT GMFCSV ( A n=6; Terada, et al, 2016) 20 ACSM American College of Sports Medicine) MET A ,21

4 GMFCS I IV 9,10 GMFCS V , ,25 A ( n=6, in press and on-line ahead of print) B 3 A A B A B B B 3 6 LF/HF 3 6 LF HF LF HF 27 LF/HF / 27 ( Terada, et al. European College of Sports Science Annual Meeting, Malmo,2015) A A B (A n=1, B n=2)(a n=19, B n=17)(a n=8 B n=10) 5 (A n=3 B n=0)(a n=23, B n=14)(a n=1, B n=13)

5 NS A A (Adapted Physical Education; APE) Rebecca Lytle ( 6) ( 7) Dr. Rebecca Lytle, Dr. Marci Pope, Dr. Josie Blagrave, Dr. Carli Ross, Dr. Maria Giovanni 1. Lee I-M, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Impact of physical inactivity on the world s major non-communicable diseases. Lancet, 380(9838): , ( ) 32: , Celeste D, Zaffuto-Sforza, DO. Aging with cerebral palsy, Phys Med Rehabil Clin N Am,16: , Gaskin CJ,Morris T. Physical activity, health-related quality of life, and psychosocial functioning of adults with cerebral palsy. J Phys Act Health,5: , Jahnsen R, Villien L, Stanghelle J, Holm I. Fatigue in adults with cerebral palsy in Norway compared with the general population. Develop Med Child Neurol,45: , Murphy KP. The adult with cerebral palsy. Orthop Clin N Am,41: , Strax TE, Luciano L, Dunn AM, Quevedo JP. Aging and developmental disability. Phys Med Rehabil Clin N Am,21: , Niuewenhuijsen C, van der Slot WMA, Beelen A, Arendzen JH, Roebroeck ME, Stam HJ, et al. Transition Research Group South West Netherlands. Inactive life style in adults with bilateral spastic cerebral palsy. J Rehabil Med, 41: , Turk MA. Health, mortality, and wellness issues in adults with cerebral palsy. Develop Med Child Neurol,51:24-29, Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol,39: , American College of Sports Medicine. Chap. General principles of exercise prescription. ACSM s Guidelines for Exercise Testing and Prescription, Ninth edition, Philadelphia PA: Lippincott Williams & Wilkins, Shinohara T, Suzuki N, Oba M, Kawasumi M, Kimizuka M, Mita K. Effect of exercise at the AT point for children with cerebral palsy. Bull Hosp Joint Dis,61:63-67, Satonaka A, Suzuki N, Kawamura M. The relationship between aerobic fitness and daily physical activities in nonathrletic adults with athetospastic cerebral palsy. Gazz Med Ital,170: , Satonaka A, Suzuki N, Kawamura M. Aerobic fitness and skewness of frequency distribution of continuously measured heart rate in adults with brain injury. Eur J Phys Rehabil Med,50: , Levine JA. Nonexercise activity thermogenesis (NEAT): environment and biology. Am J Physiol Endocrinol Metab, 286: e , Noonan V, Dean E. Submaximal exercise testing: clinical application and interpretation. Phys Ther,80: , ,49:19-26, ,51:73-82, Terada K, Satonaka A, Terada Y, Suzuki N. Cardiorespiratory responses during wheelchair dance in bedridden individuals with severe cerebral palsy. Gazz Med Ital,175: , Satonaka A, Suzuki N, Kawamura M. Validity of submaximal exercise testing in adults with athetospastic

6 cerebral palsy. Arch Phys MedRehabil,93: , Suzuki N, Oshimi Y, Shinohara T, Kawasumi M, Mita K. Exercise intensity based on heart rate while walking in spastic cerebral palsy. Bull Hosp Joint Dis,60:18-22, Åstrand PO, Rodahl K, Dahl HA, Strømme SB. Textbook of work physiology, Fourth ed. Champaign, IL: Human Kinetics; Forman DE, Fleg JL. Chap.30. Aging. Clinical exercise physiology. Third ed. Ed. Ehrman JK, Gordon PM, Visich PS, Keteyian SJ. Champaign, IL: Human Kinetics, Rose J, Haskell WL, Gamble JG. A comparison of oxygen pulse and respiratory exchange ratio in cerebral palsied and nondisabled children. Arch Phys Med Rehabil,74: , Terada K, Satonaka A, Terada Y, Suzuki N. Training effects of wheelchair dance in bedridden individuals with severe athetospastic cerebral palsy rated to GMFCS level V. Euro J Phys Rehabil, in press 27. Oliveira NL, Ribeiro F, Alves AJ, Oliveiro J. Heart variability. Ed. Walters S. Chapt 3. Relationship between heart rate variability indices and habitual physical Activity. Nova Science Publishers, Inc, New York, , 3, Wakabayashi H, Sashika H. Malnutrition is associated with poor rehabilitation outcome in elderly impairments with hospital-associated deconditioning: a prospective cohort study. J Rehabil Med,46: , Kyoko Terada, Ayako Satonaka, Yasuto Terada, Nobuharu Suzuki. Wheelchair dance skill and exercise intensity during dance in bedridden individuals with severe cerebral palsy. European Database of Sport Science,pp757, Ayako Satonaka, Kyoko Terada, Yasuto Terada, Nobuharu Suzuki. Validity of aerobic fitness estimated based on the submaximal oxygen pulse in individuals with cerebral palsy. European Database of Sport Science,pp571, Ayako Satonaka, Nobuharu Suzuki, Morio Kawamura. Aerobic fitness and skewness of frequency distribution of continuously measured heart rate in adults with brain injury. Eur J Phys Rehab Med. 50: , Kyoko Terada, Ayako Satonaka, Yasuto Terada, Nobuharu Suzuki. Cardiorespiratory responses during wheelchair dance in bed ridden individuals with severe athetospastic cerebral palsy. Gazz Med Ital. 175: , :1-9, Kyoko Terada, Ayako Satonaka, Yasuto Terada, Nobuharu Suzuki. Training effects of wheelchair dance on aerobic fitness in bedridden individuals with severe athetospastic cerebral palsy rated to GMFCS level Eur J Phys Rehab Med. (in press, on-line ahead of print) 7. Kyoko Terada, Ayako Satonaka, Masanobu Wada, Yasuto Terada, Nobuharu Suzuki. Nutritional aspects of a year-long wheelchair dance intervention in bedridden individuals with severe athetospastic cerebral palsy rated to GMFCS level V. Gazz Med Ital. ( in press) 3 1.Kyoko Terada, Ayako Satonaka, Yasuto Terada, Nobuharu Suzuki. Wheelchair dance skill and exercise intensity during dance in bedridden individuals with severe cerebral palsy. 18 th Annual Congress of the European College of Sport Science Kyoko Terada, Ayako Satonaka, Yasuto Terada, Nobuharu Suzuki. Training Effect of Wheelchair Dance on Aerobic Fitness in Bedridden Individuals with Severe Cerebral Palsy. World Congress of Biomechanics(WCB),Boston, Kyoko Terada, Ayako Satonaka, Yasuto Terada, Nobuharu Suzuki. cardiorespiratory response during wheelchair dance and autonomous regulation in bedridden individuals European College of Sports Science 20 th Annual Congress, Malmo, Kyoko Terada, Ayako Satonaka, Yasuto Terada, Akiyoshi Mabuhci, Nobuharu Suzuki. Why don t you dance? Instructional DVD for everyone with paraplegia or tetraplegia. (.2016.) 0 0 (1) SUZUKI Nobuharu (2) TERADA Kyoko SATONAKA Ayako (3) (4)